Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.44 / $6,595.64 / $13,320.00	Facility		$649.44	$6,595.64	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.82 / $743.03 / $891.43	Professional		$629.82	$743.03	$891.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $593.25 / $782.85	Facility		$453.60	$593.25	$782.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.80 / $613.72 / $672.68	Facility		$443.80	$613.72	$672.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.48 / $654.26 / $5,217.00	Facility		$463.48	$654.26	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00